CONTACTS 

SUBJECTS
Surgery Thin Skin Biopsies Left Breast Perimeter Evaluate Recovery o
Mastectomy Surgery Left Breast Removed for Palliation Strategy Propo

0604 -
0604 -    ..
0605 - Summary/Objective
0606 -
060601 - Follow up ref SDS 19 0000. ref SDS 16 0000.
060603 -  ..
060604 - Millie called earlier and explained a visit from the doctor this
060605 - morning, who cleared her for going home, as discussed yesterday.
060606 - ref SDS 19 6K4J
060608 -  ..
060609 - Millie indicated that during the examination this morning the doctor
060610 - seemed very pleased with her work on the surgery, which aligns with
060611 - understandings from meeting with the doctor yesterday. ref SDS 19 EG5L
060613 -  ..
060614 - Millie asked the doctor about progress retesting the biopsy on 040419,
060615 - which was requested during the meeting on 050923, ref SDS 10 RX4I, and
060616 - was not shown in the surgeon's notes received on 050927. ref SDS 11
060617 - WV5O  This matter was cited in draft letters prepared on 051012 giving
060618 - Kaiser notice to perform due diligence. ref SDS 16 IH7X  On 051018
060619 - resistance to due diligence was reviewed. ref SDS 17 OM8H  The next
060620 - day on 501019 another effort was made to demand Kaiser perform its own
060621 - due-diligence requirements for a "Time Out." ref SDS 18 V55K
060623 -  ..
060624 - Millie recalled the doctor saying today that this was ordered, even
060625 - though the notes do not mention having placed the order, and that the
060626 - doctor will investigate to expedite completion of the task.
060627 -
060628 -     [On 051027 surgeon has not received results of retesting for
060629 -     status change; will check with pathology department on finding
060630 -     correct biopsy slide to test. ref SDS 20 964L
060631 -
060633 -  ..
060634 - Drove to Kaiser in Martinez.
060636 -  ..
060637 - Millie was ready to go.  We simply walked out of the hospital, even
060638 - though she had a major operation yesterday.
060640 -  ..
060641 - Allowing Millie to walk out of the hospital after a major surgery,
060642 - conflicts with the prior record on 020312 when Millie was released
060643 - from the hospital in a wheelchair. ref SDS 1 7Y47
060645 -  ..
060646 - This evening Millie examined the surgical site, and expressed suprise
060647 - seeing an incision suture across the top of her chest at the left
060648 - breast line.
060650 -  ..
060651 - This report of examination seems consistent with the surgeon's
060652 - debriefing yesterday on 051021. ref SDS 19 8K6N
060654 -  ..
060655 - Millie asked why the incision was in this position above the left
060656 - breast?
060658 -  ..
060659 - We reviewed Doctor Grissom's proposal on 050912 for a very wide
060660 - mastectomy, based on biopsies to identify disease free skin, and
060661 - subsequent discussion with the surgeon on 050923 that planned
060662 - implementation in order to reduce the risk of relapse. ref SDS 10 E863
060663 -
060664 -     [On 051027 the surgeon explained having performed a standard
060665 -     mastectomy that extended above the upper two test biopsies, and
060666 -     below the two lower test biopsies. ref SDS 20 RA3H
060667 -
060668 -
060670 -  ..
0607 -
0608 -
0609 - 1218
0610 -
061001 - Jana came by to visit.  She brought flowers and a very thoughtful
061002 - card.
061004 -  ..
061005 - Janna stayed for lunch.  Fixed some potatoe salad.  Millie also had a
061006 - hot dog.
061008 -  ..
061009 - We reviewed the surgeon's report yesterday on having performed a very
061010 - wide mastectomy. ref SDS 19 MM6M
061012 -  ..
061013 - Janna asked how the surgeon closed the wound without a skin graft?
061014 - Millie related understanding that because of her age the skin was
061015 - sufficiently pliable and loose to be stretched up for a single suture
061016 - that closed the wound.
061018 -  ..
061019 - Janna was disbelieving.  She has worked as a surgical nurse for forty
061020 - years, and expressed great suprise that a standard closure could be
061021 - effective for a very wide mastectomy wound.
061022 -
061023 -
061024 -
061025 -
061026 -
061027 -
061028 -
061029 -
061030 -
061031 -
0611 -